Organization
PETERSON DENTAL GROUP, PC
Active
Other names
Gentle Dental Tenaya
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY R PETERSON DDS (PC PRESIDENT/OWNER)
(360) 869-7645
Entity
Organization
Contact information
Practice address
7260 W LAKE MEAD BLVD, #5, LAS VEGAS, NV 89128-8388
(702) 869-0369
(702) 869-0643
Mailing address
PO BOX 872710, VANCOUVER, WA 98687-2710
(360) 869-7645
(877) 725-7443
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
08/22/2025
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